Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $204.17	Professional		$93.33	$123.03	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $162.18	Professional		$123.03	$123.03	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $354.81	Professional		$165.96	$234.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $173.78	Facility		$77.62	$114.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $186.21	Professional		$104.71	$114.82	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $194.98	Professional		$138.04	$138.04	$194.98